Volunteer Application
This online form will help us gather your contact and background information, as well as your interests in hobbies. Please note that volunteers are mostly utilized in our Health Care Center and our Memory care. If you have any questions, please feel free to reach out to the Green Hills Life Enrichment team at 515-357-5022 or email GHoffice@greenhillsrc.com.
Sign in to Google to save your progress. Learn more
What is your name? *
What is today's date? *
Are you at least 16 years of age? *
What is your date of birth? *
What is your email? *
What is your phone number? *
What is the best way to contact you?
Clear selection
What is your address? (Address, City, State, Zip) *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Email Address *
If you have received your COVID-19 Vaccination, please take a picture of your vaccine card and send it to bretth@greenhillsrc.com so we can keep it on file. *
What made you decide to volunteer at Green Hills? *
What previous experience do you have working with seniors? *
What are your hobbies and interests? *
Please list any talents (singing, playing an instrument, dancing, painting, drawing, reading aloud, juggling, impressions, etc.) *
Are you a high school student or a college student at Iowa State University/DMACC? *
If you are a college student, what is your major or area of study? If you are not a college student, please type "N/A" *
Please list any clubs or groups you are or have been involved in: *
Please list any leadership experience you have: *
Have you travelled to any interesting destinations? Our residents love to discuss travel. *
Volunteering at Green Hills requires visiting with seniors, would you be comfortable with this task? *
Do you consider yourself social and outgoing? *
Do you need a required number of volunteer hours? If yes, how many hours and when do they need to be completed? (If this does not apply to you, please type "N/A") *
What value do you hope to get out of this volunteer experience? *
Please indicate what activities you are interested in volunteering for. *
What days of the week are you available to volunteer? *
What time of the day are you available to volunteer? Our group activities are typically at 10:30 AM and 3:00 PM. *
What's Next?
A member of the Life Enrichment team at Green Hills Community will be in contact with you. You will be asked to complete a background check, schedule an orientation, and sign the required policies. Thank you for applying to be a volunteer! We're so glad you chose Green Hills Community.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy